Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. This facility offers short-term acute residential treatment services for individuals diagnosed with mental health issues . The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility by Discharge Planner Clay Verbeck, to whom LPA discussed the purpose of the visit. We were later joined by Program Manager, Holly McNerney. According to the facility’s license, the facility serves fourteen (14) mentally disabled adults ages 18 through 59 years; all of whom may be ambulatory. During the inspection, there was a total of 10(ten) clients in care, all of whom are ambulatory.

LPA, accompanied by Discharge Planner Verbeck, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.